| Community Family Dental, Llc | |
|
644 American Legion Hwy Roslindale MA 02131-3901 | |
| (617) 553-8100 | |
| (617) 321-4023 |
| Full Name | Community Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 644 American Legion Hwy, Roslindale, Massachusetts |
| Authorized Official Name and Position | Elena Siniaver (MEMBER) |
| Authorized Official Contact | 6175127007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Dental, Llc 644 American Legion Hwy Roslindale MA 02131-3901 Ph: (617) 553-8100 | Community Family Dental, Llc 644 American Legion Hwy Roslindale MA 02131-3901 Ph: (617) 553-8100 |
| NPI Number | 1699905703 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 07/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699905703 | NPI | - | NPPES |
| 0200697 | Other | MA | MASSHEALTH NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20118 (Massachusetts) | Primary |
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